Verma Ajay Kumar, Pandey Anuj Kumar, Gupta Abhaya, Verma Umesh Pratap, Kant Surya, Kushwaha Ram Awadh Singh, Singh Arpita, Kumar Hemant, Chaudhary Shyam Chand
Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.
Natl J Maxillofac Surg. 2022 Sep-Dec;13(3):437-442. doi: 10.4103/njms.njms_384_21. Epub 2022 Dec 10.
There is strong evidence that periodontal disease (PD) is related to various systemic diseases including respiratory diseases. Dental plaque is the primal cause of PD, and it can also be used as a reservoir of lung pathogens. After inhalation, it can cause a variety of respiratory infections. In addition, low nutritional status and immuneosuppression due to treatment or disease progression may affect the oral health of the hospitalized patients with nontubercular respiratory diseases. Here, we aimed to assess the periodontal status in hospitalized patients with nontubercular respiratory problems.
We have enrolled 100 hospitalized nontubercular respiratory ill patients and 100 periodontal patients in this study. Periodontal clinical parameters, namely plaque index (PI), gingival index (GI), pocket probing depth (PPD), and clinical attachment level (CAL) were evaluated in both the groups. Modified Kuppuswamy's socioeconomic scale was utilized to assess the education, occupation, and monthly family income.
Sociodemographic profile was comparable in both the studied groups. Hospitalized patients with nontubercular respiratory diseases had more severe PD (PPD and CAL) and poorer oral hygiene (higher PI), although the GI was lower compared to patients in the periodontal group. In addition, compared with patients in the high-income group, low-income patients are at greater risk of periodontal infections.
Our data show that the prevalence of periodontal infections in hospitalized patients with non-tubercular respiratory diseases is higher, indicating that there is an association between PD and respiratory diseases.
有强有力的证据表明,牙周病(PD)与包括呼吸道疾病在内的多种全身性疾病有关。牙菌斑是牙周病的主要病因,它也可作为肺部病原体的储存库。吸入后,它可导致多种呼吸道感染。此外,由于治疗或疾病进展导致的营养状况低下和免疫抑制可能会影响非结核性呼吸道疾病住院患者的口腔健康。在此,我们旨在评估非结核性呼吸道疾病住院患者的牙周状况。
本研究纳入了100名非结核性呼吸道疾病住院患者和100名牙周病患者。对两组患者均评估了牙周临床参数,即菌斑指数(PI)、牙龈指数(GI)、牙周袋探诊深度(PPD)和临床附着水平(CAL)。采用改良的库普斯瓦米社会经济量表评估教育程度、职业和家庭月收入。
两个研究组的社会人口统计学特征具有可比性。非结核性呼吸道疾病住院患者的牙周病更严重(PPD和CAL),口腔卫生状况更差(PI更高),尽管与牙周病组患者相比,其GI较低。此外,与高收入组患者相比,低收入患者发生牙周感染的风险更大。
我们的数据表明,非结核性呼吸道疾病住院患者中牙周感染的患病率更高,这表明牙周病与呼吸道疾病之间存在关联。